associated w-ith lowered order lisinopril resistance the soil was pre-
pared for infection. The socalled catheter system
following operation was open to criticism. lisinopril 20mg It was too
much the custom to delay catheterization and trust
that retention would not occur, and it was too fre-
quently assumed that catheterization was responsible
for infection. So long as patients were catheterized
by the clock, just so long would infections continue
to be a reproach to lisinopril 10 the physician. All these patients
should be regarded as likely to have retention. The
bladder should never be allowed to lisinopril hctz 12.5 mg become distended
above twelve ounces. If early catheterization was
carried out, postoperative cystitis would become a
rarity. The first group of cases was that in which
kidney function might be below normal and the
cause lay outside the urinary tract. In this group
pressure from the outside produced interference
with the urinary outflow, leading to lisinopril 40 mg congestion,
which prepared the soil for the infecting organism. lisinopril buy
In this group came lisinopril 5 mg the pyelitis of pregnancy as well
as the socalled spontaneous cases associated with
disease of the large intestine, such as mucous colitis
and ulcerative colitis. There lisinopril 5 was also a group of
cases occurring in adult life, particularly in women
suffering from constipation and visceroptosis, and
another group in female lisinopril 10 mg children in which lisinopril 20 we had
been accustomed to blame the condition on the ana-
tomical conformation. If these infections in female
children were due to the introduction of the colon
bacillus by way of the tirethra, it was strange that
they were not more common. Experiment purchase lisinopril had shown
that introduction of the hctz 12.5 lisinopril colon bacillus into the blad-
der did not produce lisinopril 12.5 mg pyelitis, and clinical experience
was against this view. It might well be that the colon
bacilli affected the kidneys of those who had little re-
sistance. The use of formaldehyde in local irrigation
of the kidneys had been much in vogue, but it had
failed to live up to its temporary reputation. It
was quite strange that patients with a stormy onset
and severe symptoms were most likely to go on to
complete recovery, while chronic cases lisinopril 10mg often resisted
treatment. Attempts with autogenous vaccines
might at times relieve the symptoms but failed to
remove the infection. He was not sure they had
pushed the use of autogenous vaccines to their logi- lisinopril 12.5
cal conclusion. There was need of further study
of bacilluria, and perhaps conditions in the large
intestine might give a clue to the treatment of pye-
litis.
Dr. Edward L. Keyes, Jr., of New York, asked
Dr. Cabot concerning the relation of the passage of
instruments into the ureter to pyelitis. Atteinpts to
wash out 20 mg lisinopril the pelvis of the kidney had not proved online lisinopril
satisfactory. It was possible that cheap lisinopril a certain amount
of benefit might be due to the straightening out of
the ureter by the passage of the instrument em-
ployed in giving the irrigation.
Dr. A. W. Brasch, of North Germantown, ques-
tioned whether the large intestine was the etiologi-
cal factor in pyelitis. It was his impression that the
connection between the colon and the kidney was
limited. In treating pyelitis he removed the foci of
infection in the teeth or tonsils if any were present
and then employed lavage of the kidney pelvis with
silver nitrate, placing the patient in the Trendelen-
berg position. He passed good sized bulbs that
straightened out any stricture which might be pres-
ent, and he believed this cured pyelitis in a large
proportion of cases.
(To be continued)
Ut u
New York Medical lisinopril hctz 20 Journal
INCORPORATING THE
Philadelphia Medical Journal ?,"' Medical News
A Weekly Revieiv of Medicine, Established ISJfS.
Vol. ex II, No. is.
Ni:w YORK. SATURDAY. OCTOBER ?,0. 1920.
Whole No. 2187
Original Communications
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